Laserfiche WebLink
COUNTY OF SAN JOAwN Date: <br /> DEPARTMENT OF PUBLIC WORKS Received by 'b\,( <br /> DRIVEWAY AND PAVED FRONTAGES CR# 0-301�z � <br /> PERNUT APPLICATION <br /> APPLICANT <br /> J UL 1i C j I t h q(� �� OFFICE USE ONLY <br /> ` � Nx�- [AP <br /> OB# 11005 aMC ISSUE DATE <br /> aZ F 1� 111 S(- N f - 7 0-�7 FEE DUE <br /> XP.DATEDRIVEWAYS: <br /> Address {��TREET � � S <br /> AREA_ 4 her l�i�m <br /> QUAD <br /> c <br /> City,State-Zip Code TYPE -� <br /> X20dt to - G,: g s — 0nVwclt <br /> FORMS Vis/ 1&y(J R-1 7 <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION <br /> 1 PAuz, � f3f,-�~ <br /> Parcame � 4 <br /> 5L7_ <br /> � <br /> ress <br /> 02() DRIVEWAY <br /> Citip Code TYPE QUANTITY WIDTHS <br /> AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ <br /> RESIDENCEF11- <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encroDh on aunty Highway <br /> Right-of-Way on the A)0)- �i side of <br /> City,State-Zip Code approximately_ /mile_ C�s of <br /> by installing <br /> (Area Code)Telephone <br /> will commence on or about for approximately days. Work <br /> SKETCH(Separate sheet may be submitted) <br /> Till this project be self-installed? NO _ YES Contractor's License <br /> xesslPer App\FormlDnvewayPaved frontage <br />